St. Mary’s Hospital Medical Center: Medication Safety Quality Measures

Medication Safety
Quality Measures
Standard methods for patient ID
Medication safety training
Medication comparison process
Look-alike and sound-alike medications
Point-of-care pharmacists
Diabetes management protocols
Anticoagulant management protocols
Chemotherapy management protocols
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Medication Safety Quality Measures

Medication comparison process

A goal for patient safety from the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) is to accurately and completely reconcile (critically compare) medications across the continuum of care. This means that medications are reviewed at critical transfer points such as:

  • admission to the hospital
  • transfer between hospital units
  • transfer to home
  • transfer to another facility

Patients can help further reduce medication errors by doingthe following:

  • keep an up-to-date list of medications
  • bring medications to the hospital or other clinical site when being treated
  • learn generic and trade names for medications
  • share allergy and medication reaction information as needed
  • take an active role in healthcare by keeping notes and asking questions

A recent study in the Archives of Internal Medicine (February, 2005; 165(4): 424-429) demonstrated that the most common medication error was omission of a routinely-used medication. Antibiotics, however, are taken for only seven to 10 days but can be forgotten at critical transfer points since they are rarely part of an ongoing medication regimen.

Reinfection and superinfection (a new infection in addition to the one already present, which may not respond to antibiotics) can occur when antibiotics are not taken for the prescribed number of days, so this type of error can be hazardous and costly.

At St. Mary’s Hospital Medical Center, a critical comparison of old and new medications occurs at all patient transfer points.

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